Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanettes Sanctuary LLC

Organization Mental Health Counselor · NPI 1710788419

Jeanettes Sanctuary LLC is a Mental Health Counselor in Elyria, Ohio. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

38780 Chestnut Ridge Rd
Elyria, OH 44035-8232
Phone: (440) 219-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1710788419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latasha Gordon — Founder/Ceo · (440) 657-6446
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address113 Lexington Ave, Elyria, OH 44035-6217

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